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Individual
ELIZABETH BURNELL
Active
Individual
ELIZABETH BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
082123
GA
207Q00000X
Family Medicine Physician
35.135509
OH
207Q00000X
Family Medicine Physician
58564
TN
207Q00000X
Family Medicine Physician
C1-0013036
DE
207Q00000X
Family Medicine Physician
Primary
K2315
TX
Other
Enumeration date
09/02/2005
Last updated
09/03/2019
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